<div class="row-fluid">
    <div class="span8">
        <div class="well">
            <div class="page-header" style="display: none">
                <h1>意见反馈</h1>
            </div>

            <form class="form-horizontal" action="__APP__/sendFeedback" method="post">

                <div class="control-group">
                    <label class="control-label" for="name">尊姓大名</label>
                    <div class="controls">
                        <input type="text" id="name" name="name" placeholder="尊姓大名" class="input-xlarge" required>
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label" for="email">您的邮箱</label>
                    <div class="controls">
                        <input type="text" id="email" name="email" placeholder="您的邮箱" class="input-xlarge" required>
                        <span class="help-block">我们绝对不会泄露和公开您的联系信息</span>
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label" for="feedback">反馈意见</label>
                    <div class="controls">
                        <textarea rows="4" name="feedback" id="feedback" class="input-xxlarge" required></textarea>
                    </div>
                </div>
                    <div class="form-actions">
                        <button type="submit" class="btn btn-primary">提 交</button>
                    </div>
                
            </form>
        </div>

    </div>
    <div class="span4">
        <div class="well">
            <p>新浪微博：</p>
            <p>QQ：</p>
            <p>邮箱：</p>
        </div>
    </div>
</div>